EP0088694A1 - Cytotoxic medicine containing at least one immune toxine and chloroquine - Google Patents

Cytotoxic medicine containing at least one immune toxine and chloroquine Download PDF

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EP0088694A1
EP0088694A1 EP83400459A EP83400459A EP0088694A1 EP 0088694 A1 EP0088694 A1 EP 0088694A1 EP 83400459 A EP83400459 A EP 83400459A EP 83400459 A EP83400459 A EP 83400459A EP 0088694 A1 EP0088694 A1 EP 0088694A1
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chloroquine
immunotoxin
cytotoxic
toxine
immune
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EP0088694B1 (en
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Franz Jansen
Pierre Gros
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Sanofi SA
Elf Sanofi SA
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Sanofi SA
Elf Sanofi SA
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/50Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates
    • A61K47/51Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent
    • A61K47/68Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent the modifying agent being an antibody, an immunoglobulin or a fragment thereof, e.g. an Fc-fragment
    • A61K47/6801Drug-antibody or immunoglobulin conjugates defined by the pharmacologically or therapeutically active agent
    • A61K47/6803Drugs conjugated to an antibody or immunoglobulin, e.g. cisplatin-antibody conjugates
    • A61K47/6811Drugs conjugated to an antibody or immunoglobulin, e.g. cisplatin-antibody conjugates the drug being a protein or peptide, e.g. transferrin or bleomycin
    • A61K47/6817Toxins
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P35/00Antineoplastic agents

Definitions

  • the present invention relates to medicaments comprising, in combination, at least one immunotoxin and chloroquine.
  • the present invention relates to the preparation of potent cytotoxic drugs using the potentiating of the selective cytotoxic effects of the immunotoxins described in the patent applications mentioned above.
  • chloroquine used in the form of any of its pharmaceutically acceptable salts is a substance of particular interest for potentiating and accelerating the selective cytotoxic effect of immunotoxins. Indeed, and in particular for therapeutic applications in vivo, chloroquine has the advantage of having been used as a medicament in humans for many years. Its methods of use in therapy are therefore very well known. It is a drug well tolerated up to relatively high doses (of the order of 2 g in a single dose in adult humans) and which has particularly advantageous pharmacokinetic characteristics due to slow urinary elimination, for 70% unchanged dose with a very long serum half-life (40 to 70 hours).
  • the chloroquine used at doses where it itself does not exhibit any specific cytotoxicity for the lines studied potentiates in an extremely significant way (factor of 2500) the specific cytotoxicity of the immunotoxins.
  • This example demonstrates the potentiation of the selective cytotoxicity of the anti-T65 immunotoxin (as described in application No. 81 21 836 of the applicant) vis-à-vis human T lymphoblastold cells of the CEM line carrying the antigen T65.
  • the cytotoxicity was evaluated by measuring the incorporation of 14 C-leucine by the cells after 18 h of incubation at 37 ° C. in the presence of known amounts of the immunotoxin studied, or of cytotoxic substances of reference, in the absence or presence of chloroquine.
  • Figure 1 shows the effect of chloroquine on the inherent cytotoxicity of ricin and its isolated A chain, taken as reference substances.
  • the values of the molar concentrations (IC 50) corresponding to 50% inhibition of incorporation of the tracer are indicated in Table I.
  • FIG. 2 shows the comparative potentiating effect of the NH 4 + ion (10 mM) and of chloroquine (60 ⁇ M) on the cytotoxicity of the anti-T65 immunotoxin with respect to cells of the CEM line. .
  • the values of the molar concentrations (IC50) corresponding to 50% inhibition of incorporation of the tracer are given in Table II.
  • chloroquine has the remarkable property not only of potentiating the activity but also of increasing the selectivity of the immunotoxin. If we take as a criterion of selectivity of action of the immunotoxin the ratio of IC50s of the free A chain and of the immunotoxin, this ratio is 10 in the absence of chloroquine and close to 44,000 in presence of chloroquine.
  • immunotoxin and chloroquine in the form of the base or any of its pharmaceutically acceptable salts
  • the treatment should be carried out with a sufficient dose of immunotoxin associated with an amount of chloroquine which can vary from 10 mg to 2 g (expressed in base) with each administration of immunotoxin.
  • the duration of treatment should be determined in each case depending on the subject and the nature of the condition to be treated.
  • the new drugs according to the invention are packaged so that they can be used under the conditions suitable for their use.
  • the immunotoxin will be administered by injection and preferably by the intravenous route. Chloroquine will preferably be administered by injection unless its oral use has therapeutic benefits.

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  • General Chemical & Material Sciences (AREA)
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  • Medicines Containing Antibodies Or Antigens For Use As Internal Diagnostic Agents (AREA)
  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
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Abstract

PCT No. PCT/FR83/00044 Sec. 371 Date Oct. 21, 1983 Sec. 102(e) Date Oct. 21, 1983 PCT Filed Mar. 7, 1983 PCT Pub. No. WO83/03055 PCT Pub. Date Sep. 15, 1983.The present invention relates to medicaments comprising, in association, at least one immunotoxin and chloroquin.

Description

La présente invention concerne les médicaments comportant, en association, au moins une immunotoxine et de la chloroquine.The present invention relates to medicaments comprising, in combination, at least one immunotoxin and chloroquine.

Dans les demandes de brevets français antérieurs, portant notamment les numéros 78 27 838, 79 24 655, 81 07 596 et 81 21 836, on a décrit la préparation de produits anticancéreux dits conjugués obtenus par couplage, par liaison covalente, de la chaîne A de la ricine avec des anticorps ou fragments d'anticorps dirigés contre un antigène porté par une cellule à détruire. Les produits de ce type sont désignés dans la présente demande sous le nom générique d'immunotoxines.In the previous French patent applications, notably bearing the numbers 78 27 838, 79 24 655, 81 07 596 and 81 21 836, the preparation of so-called conjugated anticancer products obtained by coupling, by covalent bond, of the chain A has been described. ricin with antibodies or fragments of antibodies directed against an antigen carried by a cell to be destroyed. Products of this type are designated in the present application under the generic name of immunotoxins.

Dans la demande française 81 21 836 on a décrit en outre la propriété des ions ammonium (sous la forme d'un quelconque de leurs sels et en particulier le chlorure) de potentialiser de façon efficace l'action cytotoxique de ces immunotoxines.In French application 81 21 836, the property of ammonium ions (in the form of any of their salts and in particular chloride) has also been described to effectively potentiate the cytotoxic action of these immunotoxins.

Dans une autre demande antérieure déposée en France sous le n° 82 02 091, la demanderesse a décrit la propriété des substances appartenant à la classe des ionophores carboxyliques de potentialiser l'activité des immunotoxines et d'accélérer leur cinétique d'action, selon des modalités similaires à celles déjà décrites pour les ions ammonium.In another previous application filed in France under No. 82 02 091, the applicant described the property of substances belonging to the class of carboxylic ionophores to potentiate the activity of immunotoxins and to accelerate their kinetics of action, according to procedures similar to those already described for ammonium ions.

Toutes ces substances potentialisatrices et accélératrices peuvent être utilisées pour améliorer l'efficacité des immunotoxines, soit in vitro, soit in vivo chez l'homme ou l'animal, dans un but thérapeutique.All these potentiating and accelerating substances can be used to improve the efficacy of immunotoxins, either in vitro or in vivo in humans or animals, for therapeutic purposes.

La présente invention a pour objet la préparation de médicaments cytotoxiques puissants utilisant la potentialisation des effets cytotoxiques sélectifs des immunotoxines décrites dans les demandes de brevet ci-dessus mentionnées.The present invention relates to the preparation of potent cytotoxic drugs using the potentiating of the selective cytotoxic effects of the immunotoxins described in the patent applications mentioned above.

Après que de nombreuses autres substances ont été étudiées sans succès, il a été trouvé que la chloroquine utilisée sous la forme de l'un quelconque de ses sels pharmaceutiquement acceptables était une substance particulièrement intéressante pour potentialiser et accélérer l'effet cytotoxique sélectif des immunotoxines. En effet, et en particulier pour les applications thérapeutiques in vivo, la chloroquine possède l'avantage d'avoir été utilisée comme médicament chez l'homme depuis de nombreuses années. Ses modalités d'utilisation en thérapeutique sont donc très bien connues. C'est un médicament bien toléré jusqu'à des doses relativement élevées (de l'ordre de 2 g en une seule prise chez l'homme adulte) et qui présente des caractéristiques pharmacocinétiques particulièrement intéressantes dues à une élimination urinaire lente, pour 70% de la dose sous forme inchangée et à une demi-vie sérique très longue (40 à 70 heures).After many other substances have been studied without success, it has been found that chloroquine used in the form of any of its pharmaceutically acceptable salts is a substance of particular interest for potentiating and accelerating the selective cytotoxic effect of immunotoxins. Indeed, and in particular for therapeutic applications in vivo, chloroquine has the advantage of having been used as a medicament in humans for many years. Its methods of use in therapy are therefore very well known. It is a drug well tolerated up to relatively high doses (of the order of 2 g in a single dose in adult humans) and which has particularly advantageous pharmacokinetic characteristics due to slow urinary elimination, for 70% unchanged dose with a very long serum half-life (40 to 70 hours).

Dans la présente invention, il a été trouvé que,de façon surprenante, la chloroquine utilisée à des doses où elle ne présente elle-même aucune cytotoxicité propre pour les lignées étudiées, potentialise de façon extrêmement importante (facteur de 2500) la cytotoxicité spécifique des immunotoxines.In the present invention, it has been found that, surprisingly, the chloroquine used at doses where it itself does not exhibit any specific cytotoxicity for the lines studied, potentiates in an extremely significant way (factor of 2500) the specific cytotoxicity of the immunotoxins.

L'exemple suivant non limitatif permet de mieux comprendre la portée de l'invention.The following nonlimiting example makes it possible to better understand the scope of the invention.

ExempleExample

Cet exemple démontre la potentialisation de la cytotoxicité sélective de l'immunotoxine anti-T65 (telle que décrite dans la demande n° 81 21 836 de la demanderesse) vis-à-vis des cellules lymphoblastoldes T humaines de la lignée CEM portant l'antigène T65.This example demonstrates the potentiation of the selective cytotoxicity of the anti-T65 immunotoxin (as described in application No. 81 21 836 of the applicant) vis-à-vis human T lymphoblastold cells of the CEM line carrying the antigen T65.

Dans ces expériences, la cytotoxicité a été évaluée par la mesure de l'incorporation de 14 C-leucine par les cellules après 18 h d'incubation à 37°C en présence de quantités connues de l'immunotoxine étudiée, ou de substances cytotoxiques de référence, en absence ou en présence de chloroquine.In these experiments, the cytotoxicity was evaluated by measuring the incorporation of 14 C-leucine by the cells after 18 h of incubation at 37 ° C. in the presence of known amounts of the immunotoxin studied, or of cytotoxic substances of reference, in the absence or presence of chloroquine.

1 - Potentialisation de l'effet cytotoxique par la chloroquine.1 - Potentiation of the cytotoxic effect by chloroquine.

Les résultats de ces expériences sont présentés sous la forme de courbes dose/effet présentant en ordonnée l'effet cytotoxique évalué comme indiqué ci-dessus par l'incorporation du traceur. calculée en % de la valeur obtenue sur les cellules témoins sans substance cytotoxique et en abscisse les concentrations molaires en sous-unité toxique des substances cytotoxiques étudiées. La chloroquine a été testée à la concentration de 60 micromolaires. Il a été préalablement vérifié que la chloroquine n'est pas spontanément cytotoxique pour les cellules employées, à la concentration indiquée.The results of these experiments are presented in the form of dose / effect curves presenting on the ordinate the cytotoxic effect evaluated as indicated above by the incorporation of the tracer. calculated as a% of the value obtained on the control cells without cytotoxic substance and on the abscissa the molar concentrations in toxic subunit of the cytotoxic substances studied. Chloroquine was tested at a concentration of 60 micromolar. It was previously verified that chloroquine is not spontaneously cytotoxic for the cells used, at the concentration indicated.

La figure 1 montre l'effet de la chloroquine sur la cytotoxicité propre de la ricine et de sa chaîne A isolée, prises comme substances de référence. Les valeurs des concentrations molaires (CI50) correspondant à 50 % d'inhibition d'incorporation du traceur sont indiquées dans le tableau I.Figure 1 shows the effect of chloroquine on the inherent cytotoxicity of ricin and its isolated A chain, taken as reference substances. The values of the molar concentrations (IC 50) corresponding to 50% inhibition of incorporation of the tracer are indicated in Table I.

Sur cette figure 1, ont été reportés respectivement les résultats obtenus pour la ricine (R), le mélange ricine et chloroquine (R-C), la chaîne A de la ricine (A) et le mélange de la chaîne A de la ricine avec la chloroquine (A-C).

Figure imgb0001
In this FIG. 1, the results obtained for ricin (R), the mixture ricin and chloroquine (RC), the chain A of ricin (A) and the mixture of the chain A of ricin with chloroquine have been reported respectively. (AC).
Figure imgb0001

Ces résultats démontrent qu'il n'y a pratiquement pas d'effet potentialisateur de la chloroquine sur la cytotoxicité de la ricine (facteur de potentialisation de 1,6) et de la chaîne A (facteur de potentialisation de 1,4).These results demonstrate that there is practically no potentiating effect of chloroquine on the cytotoxicity of ricin (potentiating factor of 1.6) and of the A chain (potentiating factor of 1.4).

La figure 2 montre l'effet potentialisateur comparé de l'ion NH4 + (10 mM) et de la chloroquine (60,uM) sur la cytotoxicité de l'immunotoxine anti-T65 vis-à-vis des cellules de la lignée CEM. Les valeurs des concentrations molaires (CI50) correspondant à 50 % d'inhibition d'incorporation du traceur sont rappelées dans le tableau II.FIG. 2 shows the comparative potentiating effect of the NH 4 + ion (10 mM) and of chloroquine (60 μM) on the cytotoxicity of the anti-T65 immunotoxin with respect to cells of the CEM line. . The values of the molar concentrations (IC50) corresponding to 50% inhibition of incorporation of the tracer are given in Table II.

Sur cette figure 2, ont été reportés respectivement les résultats obtenus avec le conjugué anti-T65) (AT65), la chaîne A de la ricine (A), et les mélanges de conjugué anti-65 avec,d'une part, un sel d'ammonium quaternaire (AT65 Na) et, d'autre part, la chloroquine (AT65 C).In this FIG. 2, the results obtained with the anti-T65 conjugate (AT65), the A chain of ricin (A), and the mixtures of anti-65 conjugate with, on the one hand, are reported respectively. quaternary ammonium (AT65 Na) and, on the other hand, chloroquine (AT65 C).

Ces résultats montrent que l'effet potentialisateur de la chloroquine sur l'activité de l'immunotoxine vis-à-vis de sa cible spécifique est voisin de celui de l'ion ammonium et de l'ordre d'un facteur de 2 500. Ceci signifie qu'en présence de chloroquine l'immunotoxine anti-T65 est vis-à-vis de sa cible spécifique un agent cytoxique plus puissant que la ricine elle-même.These results show that the potentiating effect of chloroquine on the activity of the immunotoxin vis-à-vis its specific target is close to that of the ammonium ion and of the order of a factor of 2,500. This means that in the presence of chloroquine the anti-T65 immunotoxin is vis-à-vis its specific target a cytoxic agent more powerful than ricin itself.

Eh outre, la chloroquine présente la propriété remarquable non seulement de potentialiser l'activité mais aussi d'augmenter la sélectivité de l'immunotoxine. Si l'on prend en effet comme critère de sélectivité d'action de l'immunotoxine le rapport des CI50 de la chaîne A libre et de l'immunotoxine, ce rapport est de 10 en l'absence de chloroquine et voisin de 44 000 en présence de chloroquine.

Figure imgb0002
Furthermore, chloroquine has the remarkable property not only of potentiating the activity but also of increasing the selectivity of the immunotoxin. If we take as a criterion of selectivity of action of the immunotoxin the ratio of IC50s of the free A chain and of the immunotoxin, this ratio is 10 in the absence of chloroquine and close to 44,000 in presence of chloroquine.
Figure imgb0002

2 - Accélération des cinétiques de cytoxicité par la chloroquine.2 - Acceleration of the kinetics of cytoxicity by chloroquine.

L'effet de la chloroquine ne se limite pas à accroître d'une façon considérable l'activité cytotoxique et la sélectivité des immunotoxines. Cette substance permet aussi d'accélérer de façon très importante la cinétique de cytotoxicité des immunotoxines, comme le montre l'expérience suivante :

  • Dans cette expérience, on a mesuré comme précédemment l'incorporation de traceur radioactif dans les cellules mais cette fois en fonction du temps d'incubation des cellules avec l'immunotoxine, en absence et en présence de chloroquine 60/uM comme potentialisateur. Cette expérience a été réalisée sur le modèle cellulaire constitué par la lignée lymphoblastoide humaine CEM avec l'immunotoxine anti-T65 à la concentration de 50 nM. Les résultats sont présentés dans la figure 3.
The effect of chloroquine is not limited to considerably increasing the cytotoxic activity and the selectivity of immunotoxins. This substance also makes it possible to accelerate very significantly the kinetics of cytotoxicity of immunotoxins, as the following experiment shows:
  • In this experiment, the incorporation of radioactive tracer into the cells was measured as before, but this times depending on the incubation time of cells with the immunotoxin, in the absence and presence of chloroquine 60 / uM as potentiator. This experiment was carried out on the cell model constituted by the human lymphoblastoid line CEM with the anti-T65 immunotoxin at a concentration of 50 nM. The results are shown in Figure 3.

Sur cette figure, ont été représentés en fonction du temps (heures) les résultats obtenus avec le conjugué anti-T65 (AT65) et avec le mélange du conjugué anti-T65 avec la chloroquine (AT65 C).In this figure, the results obtained with the anti-T65 conjugate (AT65) and with the mixture of the anti-T65 conjugate with chloroquine (AT65 C) have been represented as a function of time (hours).

Pour cette lignée, il apparaît qu'en l'absence de potentialisation la cinétique de cytotoxicité est très lente comme le montre la courbe a. D'autres expériences dans les mêmes conditions ont montré que le temps nécessaire à obtenir 50 % de réduction de l'incorporation du traceur était de l'ordre de 20 h. Par contre, en présence de chloroquine, une accélération spectaculaire de la cinétique se manifeste (courbe b) puisque le temps nécessaire à obtenir 50 % d'inhibition d'incorporation est alors de l'ordre de 1,5 h seulement.For this line, it appears that in the absence of potentiating the kinetics of cytotoxicity is very slow as shown by curve a. Other experiments under the same conditions have shown that the time required to obtain a 50% reduction in the incorporation of the tracer was of the order of 20 h. On the other hand, in the presence of chloroquine, a spectacular acceleration of the kinetics is manifested (curve b) since the time necessary to obtain 50% inhibition of incorporation is then of the order of only 1.5 h.

Un tel effet d'accélération est de la plus haute importance pour toutes applications des immunotoxines et en particulier pour les applications thérapeutiques in vivo car la rapidité d'action du médicament est toujours un facteur très favorable à l'efficacité du traitement.Such an accelerating effect is of the utmost importance for all applications of immunotoxins and in particular for therapeutic applications in vivo since the speed of action of the drug is always a very favorable factor for the effectiveness of the treatment.

On peut donc utiliser en tant que médicament en thérapeutique humaine l'association constituée par immunotoxine et la chloroquine (sous la forme de la base ou d'un quelconque de ses sels pharmaceutiquement acceptables). Il peut être utilisé pour le traitement des affections, cancéreuses ou non, qui seraient sensibles à l'anticorps utilisé pour la préparation de l'immunotoxine,The combination of immunotoxin and chloroquine (in the form of the base or any of its pharmaceutically acceptable salts) can therefore be used as a medicament in human therapy. It can be used for the treatment of conditions, cancerous or not, which are sensitive to the antibody used for the preparation of the immunotoxin,

Visant à éliminer la totalité des cellules cancéreuses, le traitement devra être effectué avec une dose suffisante d'immunotoxine associée avec une quantité de chloroquine pouvant varier de 10 mg à 2 g (exprimés en base) à chaque administration d'immunotoxine. La durée du traitement devra être déterminée dans chaque cas en fonction du sujet et de la nature de l'affection à traiter.Aiming at eliminating all the cancer cells, the treatment should be carried out with a sufficient dose of immunotoxin associated with an amount of chloroquine which can vary from 10 mg to 2 g (expressed in base) with each administration of immunotoxin. The duration of treatment should be determined in each case depending on the subject and the nature of the condition to be treated.

Les nouveaux médicaments selon l'invention sont conditionnés pour pouvoir être utilisés dans les conditions adaptées à leur emploi. L'immunotoxine sera administrée par voie injectable et de préférence par voie intraveineuse. La chloroquine sera de préférence administrée par voie injectable sauf si son emploi par voie orale présentait des avantages thérapeutiques.The new drugs according to the invention are packaged so that they can be used under the conditions suitable for their use. The immunotoxin will be administered by injection and preferably by the intravenous route. Chloroquine will preferably be administered by injection unless its oral use has therapeutic benefits.

Claims (1)

Médicaments cytotoxiques caractérisés en ce qu'ils comportent en association au moins une immunotoxine et la chloroquine ou un sel pharmaceutiquement acceptable de la chloroquine.Cytotoxic drugs, characterized in that they contain in combination at least one immunotoxin and chloroquine or a pharmaceutically acceptable salt of chloroquine.
EP83400459A 1982-03-10 1983-03-07 Cytotoxic medicine containing at least one immune toxine and chloroquine Expired EP0088694B1 (en)

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AT83400459T ATE20519T1 (en) 1982-03-10 1983-03-07 CELL-TOXIC MEDICINAL PRODUCT CONTAINING AT LEAST AN IMMUNOTOXIN AND CHLOROQUINE.

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FR8204047A FR2522968B1 (en) 1982-03-10 1982-03-10 CYTOTOXIC DRUG FORM OF THE ASSOCIATION OF AT LEAST ONE IMMUNOTOXIN AND CHLOROQUIN
FR8204047 1982-03-10

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CA1335227C (en) * 1987-06-22 1995-04-11 Wylie W. Vale, Jr. Crf analog conjugates
WO1990010457A1 (en) * 1989-03-14 1990-09-20 New York University Method of treating hiv infections using immunotoxins
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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR2573656A1 (en) * 1984-11-29 1986-05-30 Sanofi Sa MEDICINAL PRODUCT COMPRISING A COMBINATION OF AT LEAST ONE IMMUNOTOXIN AND AT LEAST ONE MANNOSE-CONTAINING POLYMER
EP0186551A1 (en) * 1984-11-29 1986-07-02 Sanofi S.A. Medicament containing as a mixture at least one immunotoxin and at least one polymer containing mannose

Also Published As

Publication number Publication date
FR2522968A1 (en) 1983-09-16
DE3364240D1 (en) 1986-07-31
EP0088694B1 (en) 1986-06-25
ATE20519T1 (en) 1986-07-15
JPS59500370A (en) 1984-03-08
FR2522968B1 (en) 1986-03-28
NO834087L (en) 1983-11-09
US4582703A (en) 1986-04-15
WO1983003055A1 (en) 1983-09-15
JPH0455172B2 (en) 1992-09-02

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